【摘要】 目的分析我国儿童大肠癌的临床及病理特点．方法收集１９４９年～１９９６年国内正式发表的儿童大肠癌病例进行回顾性分析．结果全部共５８例，男４６例，女１２例；年龄７月龄～１５岁．①儿童大肠癌在全部大肠癌中的比例约为０４１％～０７７％；②主要发生于右半结肠、横结肠及直肠，分别为４３１％和４１４％；③容易误诊，误诊率高达７６９％；④病理类型以粘液腺癌为主，占７０８％；⑤根治性切除的机会为６５５％，远较成人低；⑥预后差，２年生存率为５４８％，无５年生存者；⑦病因不明，与种族及家族倾向关系亦不清楚；⑧目前尚缺乏成熟的综合治疗措施与经验．结论中国儿童大肠癌有一定特点．更多还原

【Abstract】 AIM To analyse the clinical and pathological features of colorectal carcinoma in Chinese children. METHODS Reported cases from 1949 to 1996 of colorectal carcinoma in Chinese journals were collected and retrospectively reviewed. RESULTS There were 58 cases altogether; 46 were male, and 12 female with age range of 7 months to 15 years. ①Colorectal carcinoma in children accounts for about 0 41%～0 77% in the large bowel carcinomas; ②Main sites of tumor were in transverse or rightside colon and rectum (43 1% and 41 4% respectively); ③ High rate of misdiagnosis (76 9%); ④ The predominant pathological patterns were mucinoadenocarcinoma, nondifferential carcinoma and signet ring cell carcinoma, with higher malignancy; ⑤ The rate of radical resection was lower (65 5%) than that in adult; ⑥ With poor prognosis, the 2 year survival rate was 54 8%, no 5 year survivals; ⑦The etiology was not clear, and no combined effective methods and experience are available. CONCLUSION The colorectal carcinoma in Chinese children does have some characteristics.更多还原